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16α-hydroxy Prednisolone is a metabolite of 22(R)-budesonide.1 It is formed from 22(R)-budesonide by the cytochrome P450 (CYP) isoform CYP3A in human liver microsomes
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1. Budesonide is metabolized by cytochrome P450 3A (CYP3A) enzymes in human liver. Drug Metab. Dispos. 23(1), 137-142 (1995).